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Organization
NEW YORK PAIN CARE CONSULTANT PLLC
Active
Organization
NEW YORK PAIN CARE CONSULTANT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH B. CHAPMAN (MEDICAL DOCTOR)
(718) 667-3577
Entity
Organization
Contact information
Practice address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3529
(718) 667-3577
(718) 667-3043
Mailing address
1534 VICTORY BLVD, STATEN ISLAND, NY 10314-3529
(718) 667-3577
(718) 667-3043
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
04/15/2013
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